RN Case Manager
Burbank, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Burbank, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Burbank, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Palm Springs, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Palm Springs, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Orange, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Orange, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Carmichael, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Carmichael, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Chico, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Chico, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Mission Viejo, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Mission Viejo, CA · On-site
Cigna medical, MetLife dental and vision insurance * * License reimbursement for new licenses ... Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the ...
Rancho Mirage, CA · On-site
$2.1K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Rancho ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Rancho Mirage, CA · On-site
$2.1K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Rancho ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Burbank, CA · On-site
$2.0K/wk
Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Burbank, CA · On-site
$2.0K/wk
Case Management/Utilization Review Shift: Day Shift Details: null Day Job Type: Travel *Estimated ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Santa Rosa, CA · On-site
$2.0K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Santa Rosa, CA · On-site
$2.0K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Santa ... Cigna medical, MetLife dental and vision insurance * License reimbursement for new licenses needed ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
Victorville, CA · On-site
$22 - $23/hr
Obtain and assist medical provider in reviewing the Controlled Substance Utilization Review and ... Medical - Choice between three Cigna PPO plans (company pays 90% for employees and 50% for ...
... or utilization management role. * Solid understanding of CMS Local Coverage Determinations and ... Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review ...
... or utilization management role. * Solid understanding of CMS Local Coverage Determinations and ... Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review ...
San Francisco, CA · On-site
$90K - $145K/yr
... or utilization management role. * Solid understanding of CMS Local Coverage Determinations and ... Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review ...
San Francisco, CA · On-site
$90K - $145K/yr
... or utilization management role. * Solid understanding of CMS Local Coverage Determinations and ... Cigna). * Detail-oriented, comfortable with structured checklists and building systematic review ...
San Francisco, CA · On-site
$140K - $200K/yr
You also track external evidence - peer-reviewed articles, registry data, payer medical bulletins ... What We Are Looking For * 5+ years in healthcare compliance, medical policy, utilization management ...
San Francisco, CA · On-site
$140K - $200K/yr
You also track external evidence - peer-reviewed articles, registry data, payer medical bulletins ... What We Are Looking For * 5+ years in healthcare compliance, medical policy, utilization management ...
... care and ASC utilization. While this physician will not practice within the Unitized ... Review and interpret imaging studies relevant to pain diagnosis and treatment * Maintain timely and ...
... care and ASC utilization. While this physician will not practice within the Unitized ... Review and interpret imaging studies relevant to pain diagnosis and treatment * Maintain timely and ...
$21.11 - $25.38
2% of jobs
$25.38 - $29.65
9% of jobs
$32.58 is the 25th percentile. Wages below this are outliers.
$29.65 - $33.92
21% of jobs
The median wage is $37.38 / hr.
$33.92 - $38.20
23% of jobs
$38.20 - $42.47
13% of jobs
$45.79 is the 75th percentile. Wages above this are outliers.
$42.47 - $46.74
10% of jobs
$46.74 - $51.01
8% of jobs
$51.01 - $55.28
5% of jobs
$55.28 - $59.55
5% of jobs
$59.55 - $63.82
2% of jobs
$63.82 - $68.09
2% of jobs
$21
$41
$68
A Cigna Utilization Review job involves evaluating medical treatments, procedures, and services to ensure they meet medical necessity and cost-effectiveness criteria. Utilization review specialists, typically nurses or healthcare professionals, assess patient records, verify insurance coverage, and collaborate with providers to determine appropriate care plans. They follow Cigna’s guidelines and policies to ensure compliance with healthcare regulations. This role helps manage healthcare costs while ensuring patients receive necessary and appropriate care.
A typical day in a Cigna Utilization Review position involves reviewing clinical documentation, evaluating requests for medical procedures or services, and determining coverage based on established guidelines and policies. Professionals in this role regularly interact with healthcare providers, clinicians, and internal teams to clarify cases and support care coordination. The work is primarily desk-based and may be remote or in an office setting, and it requires staying up-to-date with regulatory changes and healthcare best practices. This role provides insight into the intersection of care delivery and insurance, offering opportunities for growth into leadership, quality assurance, or clinical policy development.
To excel in a Cigna Utilization Review role, you typically need a background in nursing or a related healthcare field, with an active RN license and experience in clinical assessment and case management. Familiarity with utilization management software, health insurance policies, and medical coding systems such as ICD-10 and CPT is often required. Strong analytical thinking, attention to detail, and effective communication skills are crucial for evaluating medical necessity and collaborating with providers. These competencies ensure accurate determinations, support high-quality patient care, and help maintain compliance with regulatory standards.
The most popular types of Cigna Utilization Review jobs in California are:
For Cigna Utilization Review jobs in California, the most frequently searched job titles are:
The top searched job categories for Cigna Utilization Review jobs in California are:

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A great workplace is created when core values are exhibited by employees on a daily basis. At Uniti Med, our values are more than just aspirations, they are embedded in our decision-making processes and how we work with one another. We are always looking for good humans who understand this is exactly where they are supposed to be to change people’s lives for the better. If these values speak to you, Uniti is your home.
Recruiting and staffing services
11 - 50 Employees
Omaha, NE, US